| Sixtieth Family Dental,pllc | |
|
6019 Roosevelt Ave Ste 225 Woodside NY 11377 | |
| (585) 358-3388 | |
| (585) 358-3399 |
| Full Name | Sixtieth Family Dental,pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6019 Roosevelt Ave Ste 225, Woodside, New York |
| Authorized Official Name and Position | Jun Kwon (OWNER) |
| Authorized Official Contact | 5853583388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sixtieth Family Dental,pllc 6019 Roosevelt Ave Ste 225 Woodside NY 11377-3537 Ph: (585) 358-3388 | Sixtieth Family Dental,pllc 6019 Roosevelt Ave Ste 225 Woodside NY 11377 Ph: (585) 358-3388 |
| NPI Number | 1992206585 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 05/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992206585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 51330 (New York) | Primary |
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